| Washington Center For Pain Management Llc | |
|
120 14th Ave Se Ste B Puyallup WA 98372-3718 | |
| (425) 774-1538 | |
| Not Available |
| Full Name | Washington Center For Pain Management Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 14th Ave Se Ste B, Puyallup, Washington |
| Authorized Official Name and Position | Jacky Hong (OFFICE MANAGER) |
| Authorized Official Contact | 4257741538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Center For Pain Management Llc Po Box 827 Bellevue WA 98009-0827 Ph: (425) 774-1538 | Washington Center For Pain Management Llc 120 14th Ave Se Ste B Puyallup WA 98372-3718 Ph: (425) 774-1538 |
| NPI Number | 1194381905 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 12/03/2019 |
| Medicare PECOS PAC ID | 0143329169 |
|---|---|
| Medicare Enrollment ID | O20070615000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194381905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Yongyi Zhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831275643 PECOS PAC ID: 9436057940 Enrollment ID: I20050217000304 |
| Provider Name | Hyun J Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336123827 PECOS PAC ID: 6507842879 Enrollment ID: I20070522000275 |
| Provider Name | Thomas S Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538106216 PECOS PAC ID: 5395637557 Enrollment ID: I20080828000190 |
| Provider Name | Praveen Kumar Mambalam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790942886 PECOS PAC ID: 5597822387 Enrollment ID: I20090323000363 |
| Provider Name | Benjamin Weinstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932528395 PECOS PAC ID: 0042435943 Enrollment ID: I20140709001849 |
| Provider Name | Ebou M Cham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780072462 PECOS PAC ID: 5092032045 Enrollment ID: I20150331002516 |
| Provider Name | James C Prince |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356694244 PECOS PAC ID: 8820242118 Enrollment ID: I20160428002341 |
| Provider Name | Xi Bei Tian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316238090 PECOS PAC ID: 2365735289 Enrollment ID: I20160728002543 |
| Provider Name | Boney Koo Mcgone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154433597 PECOS PAC ID: 2668536376 Enrollment ID: I20161014000528 |
| Provider Name | Kristen King Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622408 PECOS PAC ID: 2365722139 Enrollment ID: I20161213002390 |
| Provider Name | Michael Mielniczek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013471663 PECOS PAC ID: 5092053173 Enrollment ID: I20201015001687 |
Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Main, Puyallup, WA 98371 Phone: 253-722-2161 | |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10217 125th Street Ct E, Court E, Puyallup, WA 98374 Phone: 253-864-4550 Fax: 253-864-4558 | |
Sea Mar Chc Puyallup Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12812 101st Avenue Ct E Ste 202, Puyallup, WA 98373 Phone: 253-864-4770 Fax: 253-864-4771 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 S Meridian Ste B, Puyallup, WA 98373 Phone: 253-765-5050 Fax: 844-695-2929 | |
Horizonview Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1408 3rd St Se Ste 200, Puyallup, WA 98372 Phone: 253-268-3345 Fax: 253-881-1490 | |
Optum - Summit View Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11019 Canyon Rd E Ste A, Puyallup, WA 98373 Phone: 253-537-0293 Fax: 253-537-7650 | |
Sound Family Senior Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 10th St Se, Puyallup, WA 98374 Phone: 253-848-5951 |